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Michigan rates for HCPCS 80076

Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $16.60 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.76 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.90 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.22 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.59 / $7.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.55 / $11.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $20.42 / $112.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.76 / $17.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.46 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.80 / $5.25